FDA Adverse Event Other Summary report: N

60 DEG. MICRO ABLATOR-S PROBE W/ SUCTION

MDR report key: 679127 · Received February 23, 2006

Report

Report Number
1216828-2006-00010
Event Type
Other
Date Received
February 23, 2006
Date of Event
February 1, 2006
Report Date
February 22, 2006
Manufacturer
SMITH & NEPHEW, INC. - ENDOSCOPY DIVISION
Product Code
HXB
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
TN, US
Reporter Occupation
PHYSICIAN

Narratives

Description of Event or Problem · 1

THE PT WAS UNDERGOING A WRIST ARTHROSCOPY PROCEDURE. WHEN THE DOCTOR HAD COMPLETED THE PROCEDURE, HE NOTICED AN APPROXIMATELY 4MM CIRCULAR BURN-THROUGH IN THE SKIN ON THE BACK OF THE WRIST. THE DOCTOR CUT OUT THE BURNED PORTION AND SUTURED THE SKIN BACK TOGETHER. THEY BELIEVE THE BURN WAS NOT CAUSED BY CONTACT OF THE ABLATOR PROBE WITH THE LINVATEC TRACTION TOWER BECAUSE THE BURN WOULD HAVE BEEN SQUARE AND NOT ROUND.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 60 DEG. MICRO ABLATOR-S PROBE W/ SUCTION ABLATION PROBE, MONOPOLAR HXB SMITH & NEPHEW, INC. - ENDOSCOPY DIVISION 7209641 50140217

Patients

Seq Age Sex Outcome Treatment
1 UNKNOWN Other